摘要
目的:探讨关节镜辅助下带线锚钉双固定系统修复内侧髌股韧带(MPFL)治疗急性髌骨脱位的临床疗效。方法:选取本院25例急性髌骨脱位的患者在关节镜辅助下行髌骨外侧支持带松解和MPFL带线锚钉紧缩缝合修复术。术后进行随访以观察患者术后情况,比较手术前后膝关节Lysholm评分、IKDC评分、髌股适合角、髌骨倾斜角和髌骨外移度。结果:患者术后均获得随访,时间12~26个月,平均18.3个月;无髌骨再次脱位或半脱位,术后6个月患者完全恢复正常活动,患膝关节Lysholm及IKDC评分均高于术前(P<0.01),髌股适合角、髌骨倾斜角和髌骨外移度等客观指标均较术前明显纠正(P<0.01)。结论:关节镜辅助下行髌骨外侧支持带松解和MPFL带线锚钉紧缩缝合修复术治疗急性髌骨脱位可避免取自体肌腱,创伤小,并发症少,疗效确切。
To investigate the clinical effect of arthroscopic double fixation system with suture anchors for repairing medial patellofemoral ligament(MPFL)in treatment of acute patellar dislocation Method:A total of25patients with acute patellar dislocation in our hospital were treated with arthroscopic repairof patellar lateral retinaculum release and MPFL tighten suture with suture anchors.The postoperative follow-up wasperformed to observed the postoperative condition of the patients.Lysholm score,IKDC score,patellofemoral fit angle,patellar tilt angle and patellar displacement were compared before and after operation.Result:All patients were followed up after operation for12to26months with an average18.3months.After operation6months,all patients completely resumed their normal activities,without redislocation or subluxation of patella,the Lysholm and IKDC scores of knee joint were higher than those of before operation(P<0.01),the patellofemoral fit angle,patellar inclination angle and patellar displacement were obviously corrected compared with those of before operation(P<0.01).Conclusion:Arthroscopic repair of patellar lateral retinaculum release and MPFL tighten suture with suture anchors in treatment of acute patellar dislocation can be avoided acquiring tendon from the body,with less trauma,less complications and better curative effect.
作者
项毅
孟祥飞
续力民
杨春宝
郭英萍
XIANG Yi;MENG Xiangfei;XU Limin(The 264th Hospital of PLA,Taiyuan 030001,China)
出处
《中国医学创新》
CAS
2018年第25期99-102,共4页
Medical Innovation of China
关键词
髌骨脱位
带线锚钉
关节镜
髌股韧带
Patellar dislocation
Suture anchors
Arthroscopy
Patellofemoral ligament
